Individual
MISS ALIYA GRACE JAE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1710 HIGHWAY 121 BYP N STE K, MURRAY, KY 42071-8762
(270) 767-6853
Mailing address
1090 STATE ROUTE 1686, FANCY FARM, KY 42039-9001
(270) 293-1914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
292360
KY
Other
Enumeration date
06/22/2023
Last updated
03/18/2025
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